IndividualActive
Amanda Polachek
NPI 1407797855 · Assistant Behavior Analyst · Wauwatosa, WI
Provider details
- NPI number
- 1407797855
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0-26-17037 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
10930 W Potter Rd Ste a
Wauwatosa, WI 53226-3450
Phone: (262) 200-0900
Fax: (630) 395-9198
Approximate (ZIP-level) locationGet directions
Mailing address
10930 W Potter Rd Ste a
Wauwatosa, WI 53226-3450
Registry dates
- Enumerated
- 2026-04-01
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.